Individual
SAMANTHA JADE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N 31ST ST STE 1, MONROE, LA 71201-3959
(318) 737-7794
Mailing address
895 CLEAR BRANCH RD, FARMERVILLE, LA 71241-5043
(318) 235-8769
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/20/2018
Last updated
09/28/2018
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